DOI: https://doi.org/10.22263/2312-4156.2022.2.63
Gavrilik A.A.
The system of indicators and indices of foreign citizens’ confidence in the professional activity of Belarusian doctors (on the example of Grodno region)
Multidisciplinary medical organization «LODE», Grodno, Republic of Belarus
Vestnik VGMU. 2022;21(2):63-69.
Abstract.
Introduction. To solve the problem of assessing the current state of foreign citizens’ trust in the professional activities of Belarusian doctors, it is proposed to use the index of confidence in Belarusian doctors, determined on the basis of the indices of generalized trust in Belarusian doctors (three types), the values of which are calculated based on the values of two indicators: the indicator of generalized trust and the indicator of the measure of personal trust.
Objectives.To introduce a new method of assessing the trust in Belarusian doctors among foreign patients.
Material and methods. Using the principles of sociology of medicine, an approach has been developed to mathematically assess the level of trust of foreign consumers of medical services in Belarusian doctors, the system was introduced in 2021 into the work of a number of healthcare organizations in Grodno region (healthcare institution «Grodno University Clinic», healthcare institution «Grodno City Clinical Hospital of Emergency Medical Care», healthcare institution «Ostrovets Central District Clinical Hospital»). The sample consisted of 297 English-speaking foreigners: 184 (61.95%) women and 113 (38.05%) men. Every third foreigner – 34.24% of women {27.77; 41.35}% and 30.97% of men {23.19;40.01}% – had already an experience of receiving medical care in countries other than Belarus and the country of their residence. The Microsoft Excel 2010 program, the Statistica 10 software package, serial number AXAR207F394425FA-Q were used to process and present the results.
Results. The method includes a sociological survey followed by the calculation of the index of trust in Belarusian doctors, determined on the basis of generalized trust indices (three types). The indices of generalized trust in three characteristics – experience, professionalism, ethics – differ, trust in the professionalism of Belarusian doctors prevails (p<0.01), the general index of trust of foreign citizens in the professional activities of Belarusian doctors makes up 40.4%, which corresponds to the average level of trust.
Conclusions. The results indicate a sufficient level of trust in Belarusian doctors on the part of foreign patients. Vectors for increasing trust are represented by the aspects of expanding the experience of doctors working with English-speaking patients and issues of ethics and communication in healthcare.
Key words: trust, healthcare system, sociology of medicine, export of medical services.
References
1. Gavrilik AA. Client-oriented vectors to promote exports of medical services in Grodno region. Zdravookhranenie (Minsk). 2021;(12):13-20. (In Russ.)
2. Gavrilik AA. On new methods of assessing the confidence of foreign consumers of medical services in Belarusian doctors. Zhurn Grodn Gos Med Un-ta. 2020;(6):727-31. (In Russ.)
3. Kupreichenko AB. The Psychology of Trust and Mistrust. Moscow, RF: In-t psikhologii RAN; 2008. 571 р. (In Russ.)
4. Mersiianova IV, Iakimetc VN, Pakhomova EI. The confidence of citizens in the activities of civil servants. Vopr Gos Munitsip Upr. 2012;(4):98-118. (In Russ.)
5. Seligmen A. The Problem of Trust. Moscow, RF: Ideia-Press; 2002. 256 р. (In Russ.)
6. Surmach MIu. Sociology of Medicine: Subject Matter, Methodology, and Spheres of Application in the Republic of Belarus. Grodno, RB: GrGMU; 2016. 316 р. (In Russ.)
7. Tang L. The influences of patient's trust in medical service and attitude towards health policy on patient's overall satisfaction with medical service and sub satisfaction in China. BMC Public Health. 2011 Jun;11:472. doi: http://dx.doi.org/10.1186/1471-2458-11-472
8. Flugelman MY, Jaffe R, Luria G, Yagil D. Trust in the referring physician reduces anxiety in an integrated community-to-hospital care system. Isr J Health Policy Res. 2020 May;9(1):7. doi: http://dx.doi.org/10.1186/s13584-020-00365-6
9. Niv-Yagoda A. Association between trust in the public healthcare system and selecting a surgeon in public hospitals in Israel: a cross-sectional population study. Isr J Health Policy Res. 2020 Jul;9(1):38. doi: http://dx.doi.org/10.1186/s13584-020-00396-z
Information about authors:
Gavrilik A.A. – director of the branch, Multidisciplinary medical organization «LODE».
Correspondence address: Republic of Belarus, 230023, Grodno, 51 Bolshaya Troitskaya str., branch of Multidisciplinary medical organization «LODE». E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Alexander A. Gavrilik.
